Document Detail

Intratracheal cocaine induced myocardial infarction: an unusual complication of fibreoptic bronchoscopy.
MedLine Citation:
PMID:  12885998     Owner:  NLM     Status:  MEDLINE    
A 73 year old man developed chest pains 5 minutes after fibreoptic bronchoscopy. The procedure had been performed without sedation following an intratracheal injection of 5 ml 2.5% cocaine solution and xylocaine spray to the pharynx for topical anaesthesia. A 12-lead electrocardiogram showed an evolving anterior myocardial infarction. Cardiac catheterisation revealed coronary artery spasm in the proximal left anterior descending artery at the site of non-significant plaque disease. The risk factors, mechanisms, and treatment of cocaine induced myocardial infarction following intratracheal injections are discussed.
S Osula; P Stockton; M M Abdelaziz; M J Walshaw
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Thorax     Volume:  58     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-29     Completed Date:  2003-09-11     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  England    
Other Details:
Languages:  eng     Pagination:  733-4     Citation Subset:  IM    
Cardiology Department, The Cardiothoracic Centre Liverpool, Liverpool, UK.
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MeSH Terms
Anesthetics, Local / adverse effects*
Bronchoscopy / adverse effects*
Cocaine / adverse effects*
Fiber Optic Technology
Injections, Spinal
Myocardial Infarction / chemically induced*
Reg. No./Substance:
0/Anesthetics, Local; 50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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